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Cairns Consensus Statement on Rural Generalist Medicine

National Rural Health Strategy
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Notes For Speaking to MPs



Child and Youth Mental Health Project Needs Assessment Survey

 

Proceedings From the GP Surgery
Symposium, June 2007

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Practice SOOs

Links (English and French) to the CFPC website featuring a collection of 10 SOOs as exam preparation resources. http://www.cfpc.ca/SOOs/ or http://www.cfpc.ca/Entrevues_médicales_simulées/

 


Society Policy and Discussion Papers

Guidelines and PDA Aids A Rural Doc's Reviews
These are highly abridged and lightly editorialized versions of various rural documents.
  • The Fyke Commission on Medicare Report.  This 2001 paper suggests closing all remaining GP run rural hospitals in Saskatchewan.
  • Health Canada Rurality and Physician Supply Paper. This 1999 report predicts worsening doctor to population ratios in rural Canada through 2021.  There is also a report on what rural doctors think contributes to the ruralness of a community.
  • Barer Stoddart 1999. This "dynamic duo" of academics released a discussion paper September 16, 1999, entitled Improving Access to Needed Medical Services in Rural and Remote Canadian Communities: Recruitment and Retention Revisited. (Full Report) They are unrepentant on an earlier paper of theirs that resulted in reducing medical school admissions in Canada by 10%, (SRPC comment) but agree that more of the same is not a viable option and call for reform.
  • The SRPC-ON PAIRO Blueprint. In the spring of 1998 the SRPC, Ontario Regional Committee and The Professional Association of Intern and Residents of Ontario convened 12 prominent physicians from across the country to produce a blueprint for addressing physician recruitment and retention in rural and remote Ontario. Alternately, view the entire report.
  • The Scott Report is the landmark Ontario document that established that being "on call" had value in low volume ER's.
  • The Dobbin Report is the document that ended work action in northern BC and established that being "on call" had value for GP anaesthetics etc. Alternately, read the full text.
  • The Australian Solution is by far the most unique document, because it describes a rural solution that actually works!
  • The PAIRO Report gives the resident's perspective. Refreshing.
  • The WONCA paper is the rural training document that is given lip service everywhere, but rarely has been read.  Alternately, read the entire report.
  • The CMA Report of 1992 demonstrates trends of increasing or stable rural population and decreasing rural physician population. If only it's recommendations had been implemented back then...
Rural Relevant Papers Rural Medicine Articles
  • Needs of Rural Physicians. In order to assure sustainable physician based health care services in a rural community, one must ensure that there is enough volume of a wide enough range of services to allow sufficient funding for enough doctors to be able to support each other in a reasonable call schedule. Hal Irvine MD FCPC, Carol Rowntree MD CCFP, Jim Thompson MD CCFP (EM). November 22, 1994.
  • Rural Midwifery. To the old and now illegal unlicensed practitioners these new health professionals are "midwives in suits." Can this new breed help sustain maternity care services for rural women, or are they yet another establishing force, brought in from outside? Peter Hutten-Czapski MD CCFP. August 16, 1999.
  • Rural Physicians' Perspective of Midwifery in Sundre, Alberta. Rural family physicians and midwives philosophically share much in common. Continuity of care, family-centered care and providing non-interventionist care of low risk pregnancies and deliveries are central tenets to both groups. Carol Rowntree MD CCFP, Hal Irvine MD CCFP FCFP, Jim Thompson MD CCFP (EM), Darren Larsen MD, Janet Morse MD CCFP. December 22, 1994.
  • Toward Development of a National Rural Health Strategy. A report of the National Liberal Rural Caucus, April 30, 1999. Associated Press Release.
  • Barer and Stoddart released a discussion paper on September 16, 1999, entitled Improving Access to Needed Medical Services in Rural and Remote Canadian Communities: Recruitment and Retention Revisited. (Full report - Official SRPC comment - Unofficial rural review) They are unrepentant on an earlier paper of theirs that resulted in reducing medical school admissions in Canada by 10%.
  • A Position Paper Prepared for Rural Health Research in the Canadian Institutes of Health Research. 1999.
Rural Emergency Medicine
  • Rural Critical Care. Jim Thompson MD CCFP (EM), Keith MacLellan MD CM, Tom O'Neill MB, BcH, CCFP. June 27, 1996.
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